1

UGANDA NURSES AND MIDWIVES EXAMINATION BOARD

SEMESTER CONTENT GUIDELINE FOR DIPLOMA IN MENTAL HEALTH NURSING (DIRECTPROGRAMME)

YEAR ONE SEMESTER I

DMHND 01 ANATOMY AND PHYSIOLOGY (I):

DMHND 02 FOUNDATIONS OF NURSING(I)

DMHND 03 BASIC COMPUTER APPLICATIONS

DMHND 04 FIRST AID

DMHND 05 MICROBIOLOGY

DMHND 06 SOCIOLOGY

DMHND 07 PSYCHOLOGY I

DMHND 08 PRINCIPLES OF PSYCHIATRIC NURSING (I)

YEAR ONE SEMESTER II

DMHND 01 ANATOMY AND PHYSIOLOGY (II)

DMHND 02: FOUNDATIONS OF NURSING (II)

DMHND 08: PRINCIPLES OF PSYCHIATRIC NURSING (II)

DMHND 012: GUIDANCE AND COUNSELING

DMHND: 07 PSYCHOLOGY II

YEAR TWO SEMESTER I

DMHND 08: PRINCIPLES OF PSYCHIATRIC NURSING (III)

DMHND 09: MEDICAL-SURGICAL NURSING I

DMHND 010: PHARMACOLOGY I

DMHND 011: PEADIATRIC NURSING (I)

YEAR TWO SEMESTER II

DMHND 09: MEDICAL NURSING II

DMHND 10: PSYCHO-PHARMACOLOGY II

DMHND 11: PEADIATRIC NURSING(II)

DMHND 018: CHILD PSYCHIATRY

2

YEAR THREE SEMESTER I

DMHND 013: OCCUPATIONAL THERAPY AND REHABILITATION IN MENTAL HEALTH

DMHND 14: BASIC TRAINING METHODS

DMHND 015: PRIMARY HEALTH CARE (PHC)

DMHND 016: HEALTH SERVICE MANAGEMENT (I)

DMHND 017 APPLIED RESEARCH

YEAR THREE SEMESTER II

DMHND 016 HEALTH SERVICE MANAGEMENT II

DMHND 017 APPLIED RESEARCH II (REPORT WRITING)

DMHND 019 PALLIATIVE CARE NURSING

DMHND 020: INTRODUCTION TO OCCUPATIONAL HEALTH AND SAFETY

DMHND 021: ENTREPRENEURSHIPDMHND 022: COMMUNITY MENTAL HEALTH NURSING

3

YEAR ONE SEMESTER I

DMHND 01 ANATOMY AND PHYSIOLOGY (I)

Topic 1: Introduction to Anatomy and Physiology Definition of terms used in anatomy and physiology Human body organization (cell, tissue structure and function) Chemistry of life Blood and its compositionTopic 2: Structures and functions of various body systems Cardio-vascular system and detailed diagrammatic description Lymphatic system and detailed diagrammatic description Digestive system and detailed diagrammatic description Skeletal system and detailed diagrammatic description Muscular system and detailed diagrammatic description

DMHND -02 FOUNDATIONS OF NURSING(I)

2.1 Introduction to Nursing

Definitions Nurses’ rights History of Nursing Theories of Nursing Nursing in health care delivery system Legal aspects in Nursing Carrier pathway

2.2 Ethics and Etiquette

Ethical principles Professional code of conduct Code of conduct for all medical workers Values of the nurses Medical legal issues

2.3 Nursing Process

2.4 Basic Nursing Procedures

General principles for all nursing procedures Management of equipment Admission and discharge of patients Bed making and types of beds Patient’s comfort Prevention and treatment of pressure sores Feeding of patients Barrier nursing

4

Observation and documentation Lifting, turning of patients Administration of drugs Bed bath Mouth care Transfer of patients Bed appliances Care of linen Giving bedpans and urinals

DMHND -03 BASIC COMPUTER APPLICATIONS

3.1 Introduction

History of computer Advantages of using computer Components of computer

3.2 Microsoft computer packages

Introduction to computer environment Using Microsoft word Using Microsoft excel Using power point

3.3 Introduction to internet

Surfing/searching for all information on the net Using the email

3.4 Maintenance of computer and its components

Maintenance of computer components Computer protection from internet hazards

DMHND -04 FIRST AID

4.1 Introduction to first aid

Definition Principles and rules of First Aid Equipment used in First Aid

4.2 First Aid Emergencies

Shock Cardio-Pulmonary resuscitation Fractures and dislocation Sprains

5

Asphyxia Drowning Poisoning Snake bite and insect stings Burns and Scalds Haemorrhage Bleeding Unconsciousness Wounds

DMHND -05 MICROBIOLOGY

Concepts of microbiology Classification and types of microorganisms Characteristics and mode of spread of disease causing microorganisms and parasites Pathological effects of microorganisms and parasites Simple laboratory tests /diagnostic procedures Introduction to immunity Immunity and immune system Antibodies and antigens Vaccination and immunization Cold chain Prevention and control of infections

DMHND 06 SOCIOLOGY

6.1 Introduction to sociology

Basic concepts Relevancy of sociology to Nursing

6.2 Socialization Process

Socialization Urbanization and Globalization Group dynamics Deviance and Social Control

6.3 Sociology and Health

Health/Illness/Sickness as a social identity Illness and sick role behavior Family as the basic health unit Culture and health behavior Gender, domestic violence and metal health

6

6.4 Conflict Resolution

Concept of conflict Conflict profile Conflict cause and management

6.5 Attitudes and Beliefs

Definition of concepts Models functions of attitude Factors for attitude formation Attitude change

DMHND 07 PSYCHOLOGY I

7.1 Introduction to Psychology

Definition and history of Psychology Types of Psychology

7.2 Brain, Body and Awareness

Body and behavior Sensation and Perception Motivation and emotion State of consciousness

7.3 Human Development

Infancy and childhood Adolescence Adulthood and Aging Gender differences

7.4 Cognitive Processes

Principles of learning Intelligence Memory and forgetting

DMHND 08 PRINCIPLES OF PSYCHIATRIC NURSING (I)

8.1 Introduction to Mental Health

History of Mental Health Nursing Mental Health Nursing Services in Uganda Duties and roles of a mental health Nurse Therapeutic environment/mileu

7

Admission/ Assessment of a patient with mental health problem Professional therapeutic Nurse-Patient/ client relationship Nursing process & it’s Application in the management of patient with mental health

problems Legal aspects of mental health nursing

8.2 Psychiatric Interventions and Psychiatric Emergencies

Suicide Delirium tremens Epileptic furor Aggression and violent behavior Acute panic states Acute drug induced extra pyramidal syndrome Drug intoxication Catatonic and depressive stupor

YEAR ONE SEMESTER II

DMHND 01 ANATOMY AND PHYSIOLOGY (II)

Structures and functions of various body systems The respiratory systemand the detailed diagrammatic description The urinary Systemand the detailed diagrammatic description The endocrine systemand the detailed diagrammatic description The nervous systemand the detailed diagrammatic description Organs of special Sensesand the detailed diagrammatic description The reproductive systemand the detailed diagrammatic description The lymphatic system and the detailed diagrammatic description

DMHND 02: FOUNDATIONS OF NURSING (II)

2.5 ADVANCED NURSING CARE

Passing a nasal gastric tube Stomach lavege Nasal gastric aspiration Flatus tube Rectal washout Care of colostomy Intravenous infusion Catheterization Bladder irrigation Chest aspiration Care of underwater seal drainage

8

Care of tracheostomy Nursing paraplegic patients Paracentesis abdomins Ear syringing Administration of oxygen Preparation of patients for X-ray and other investigations Lumbar puncture Wound dressing Preparation of traction Preparation for biopsy Palliative care

DMHND 08: PRINCIPLES OF PSYCHIATRIC NURSING (II)

Introduction to Mental Health Schizophrenia Affective Disorders Organic Mental Disorders Neurotic Disorders Epilepsy Psychoactive substance use Pregnancy and Puerperium related mental health problems HIV Psychosis/ AIDS Dementia Psychosexual Disorders Forensic Psychiatry Eating Disorders Geriatric Psychiatry Liaison Psychiatry Personality Disorder

DMHND 012: GUIDANCE AND COUNSELING

12.1 Introduction to Guidance and Counseling

Concepts of Guidance and Counseling Theories and Principles of Guidance and Counseling Qualities of a good counselor Importance of counseling in psychiatric nursing

12.2 Counselling Process

Different models/ stages of counseling Attitude and skills of counseling Self – awareness

9

Don’ts in counseling

12.3 Specific Common Counseling Conditions

HIV/AIDS pre and post counseling Substance abuse Depressed patient’s/ anxiety states Bereavement and other types of loss Crisis intervention PTSD

DMHND: 07 PSYCHOLOGY II

Personality, and Theories of personality Assessment of personality and personality abilities Frustration, conflict, stress and substance abuse Mental Defense mechanisms and their application Motivation and theories of motivation

YEAR TWO SEMESTER I

DMHND 08: PRINCIPLES OF PSYCHIATRIC NURSING (III)

Specialized Areas of Nursing Care

Escape tendency Food refusal Insomnia Parole Planning patient’s day

Psychotherapies

Behavior therapy Cognitive behavior therapy Supportive psychotherapy Group therapy and family therapy

DMHND 09: MEDICAL-SURGICAL NURSING I

Definition of terms Causes of medical/ surgical conditions General approach to management of medical-surgical conditions General investigations carried out to rule out medical surgical conditions

Diseases of the cardiovascular system

Pericarditis

10

Endocarditis Myocarditis Myocardial infarction Congestive cardiac failure Rheumatic heart disease Anemias Hemorrhage

Diseases of the Renal System

Pyelonephrits Glomerulo-nephritis Renal failure Cystitis Nephrotic syndrome Urethritis Trauma to the kidney, bladder and urethra Prostatic hypertrophy Urethral strictures

Diseases of the respiratory system

Diseases of the Upper Respiratory System Diseases of the Lower Respiratory system

Diseases of the Digestive System

Oral Pharyngeal conditions Stomatitis Gingivitis Oesophagitis Peptic Ulcer disease Liver conditions Hepatitis Liver cirrhosis Jaundice

Gastritis Cholecystitis Appendicitis Intestinal obstruction

Diseases of the nervous system

Meningitis Encephalitis Cerebral Vascular Accident Head Injury

11

Epilepsy Headaches Tumours

Diseases of the endocrine system

Diabetes Goitre Thyrotoxicosis and Myoxedema Cretinism and Gigantism

DMHND 010: PHARMACOLOGY I

10.1 Introduction to Pharmacology

Concept of pharmacology Pharmacy and Drug Act Classification of drugs Pharmacokinetics and pharmacodynamics Rules governing administration of drugs

10.2 General Pharmacology

Antimalarial Medicine Analgesics Antibiotics Antihistamines Anticoagulants Anti-diabetics Anti-Tuberculosis drugs Anti-fungals Anthelmintic Antivirals Antineoplastics Diuretics Antihypertensive Haematemics

DMHND 011: PEADIATRIC NURSING (I)

Introduction to Paediatric Nursing and Concepts of Paediatric nursing

Growth and development Factors affecting growth and development Growth monitoring and promotion Developmental mile stones

12

Growth monitoring Taking children’s weight Plot weight on growth promotion chart Assessment of neonates and children

Childhood Illness and Conditions

Neonatal conditions Childhood conditions Home accidents Drug administration in children Health Education and Promotion Immunization Immunization and management of cold chain Nutrition Hygiene

YEAR TWO SEMESTER II

DMHND 09: MEDICAL NURSING II

Skin disorders or disease

Karposis sarcoma Allergic condition of the kin Wounds burns Inflammations

Specific surgical conditions

Anthrax Gangrene tetanus Fractures Spinal injuries Osteomyelitis Congenital abnormalities Osteoarthritis Bone and joint tumors

Conditions of the ear, nose and throat

Otitis media Rhinitis Foreign body Adenitis

13

Ano-rectal conditions

Hemorrhoids Anal fistula and fissure Rectal prolapsed

STDs and HIV/AIDS infections

HID/AIDS infection Vaginits Gonorrhea Trichomonas Syphilis Candidiasis Canchroid Tropical and communicable diseases Parasitic infections Intestinal worms Malaria Trypanasomiasis Zoonoses of medical importance Rabies Brucellosis Viral infections of medical importance

Chicken pox

Measles

Mumps

SARS

Hemorrhagic Fevers (Viral)

Ebola

Yellow fever

Lasar fever

Marburg

Gastrointestinal infections

Diarrhea

Typhoid

Cholera

Dysentery

14

Gynecological Conditions

Uterine tumors Pelvic Inflammatory Diseases (P.I.Ds) Vesicle-vaginal fistula Rectal- vaginal fistula Cancer of the cervix Fibriods Vulvitis Conditions of the breast

Cancer of the breast

Mastitis

Ovarian cyst

DMHND 10: PSYCHO-PHARMACOLOGY II

Antipsychotics Antidepressants Anticonvulsants/ Antiepileptic Anxiolytics Mood stabilizers Anti-parkinsonian drugs

DMHND 11: PEADIATRIC NURSING(II)

Bleeding Congenital toxoplasmosis Syphilis Perinatal asphyxia Neonatal seizures Normal sexual development Home accidents Manage children living with HIV /AIDS

Clinical manifestation of HIV / AIDS in children Opportunistic infections in children Treatment of HIV/AIDS in children (ARV therapy) Prevention and control of HIV/AIDS

15

DMHND 018: CHILD PSYCHIATRY

Mental retardation Attention deficit hyperactivity disorder Conduct disorders. Autism. Hyperkinesis Separation anxiety Social phobia Asperger’s syndrome Trauma responses in children (PTSD and Depression) Suicide and self-harm

YEAR THREE SEMESTER I

DMHND 013: OCCUPATIONAL THERAPY AND REHABILITATION IN MENTAL HEALTH

13.1 Introduction

Definition of terms

Occupational therapy

Rehabilitation

Work/productivity

Leisure/ play

Self-care/ self-maintenance

Activities of daily living (ADL)

Concepts and theories in occupational therapy

Institutionalization

Ethical legal issues in occupational therapy

Forensic psychiatry and occupational therapy

Socio-cultural issues in occupational therapy

Approaches to treatment in mental health occupational therapy

13.2 Occupational Therapy Process

Assessment Analysis Planning Implementation and Evaluation

16

13.3 Activities in Mental Health Occupational Therapy

Physical activities Social activities Personal activities Work and constructive activities

13.4 Rehabilitation

Principles Resources and support Personnel

13.5 Specific areas for occupational therapy in mental health

Schizophrenia Anxiety Disorders Substance- related disorders Personality disorders Mood disorders Epilepsy Rehabilitation for HIV/AIDS Child and adolescent psychiatry Acute psychosis

DMHND 14: BASIC TRAINING METHODS

14.1 Introduction to principles of training and learning

Concepts; teaching, learning and training Principles of Teaching and learning Training or facilitation methods Advantages and limitations of different training methods

14.2 Preparation and Presentation

Planning a training session Preparation Session facilitation Pre and post training evaluation Report writing

14.3 Designing a training program

Prepare a training programme Conduct a training programme Monitor and evaluation training programme Report writing

17

DMHND 015: PRIMARY HEALTH CARE (PHC)

15.1 Introduction to PHC

Meaning of PHC Historical background of PHC Concepts, principles and pillars Components of PHC

15.2 Integration of mental health into existing PHC services

Minimum health care package Process of integration of mental health into PHC services Resources for delivering health services

15.3 Community Health Services

Introduction to delivery of community mental health services Define what constitutes a community Structure (administrative) of a community Values, norms, beliefs, taboos, and attitude Social services Stake holders and resources within the community Community diagnosis

Community entry process

Community entry

Community survey

Ethical consideration

Identification and prioritization of needs and resources and interventions

Develop action plan

Implementation, monitoring and evaluation of health services in the community

Mobilization and sensitization

Check list and indicators for monitoring

Report writing on community health activities

DMHND 016: HEALTH SERVICE MANAGEMENT (I)

Introduction to Management

Concepts Theories and Principles Functions of effective leadership and management

18

Roles, responsibilities and functions of an effective leader/ manager Qualities of a good manager Management theories and styles Human resource management

Recruitment and Staff recruitment process Remuneration and appraisal Performance Appraisal

Financial management Management of equipment and supplies Transport management. Management of Infrastructure Leadership Leadership theories Team process Styles of leadership

Conflict and conflict resolution Negotiation Skills Prepare a management report Carryout inventory

DMHND 017 APPLIED RESEARCH

17.1 Introduction

Concept of research Functions of research Types or methods of research Research designs

17.2 Basic Statistics

Frequencies Mean Mode Median Data presentation methods

17.3 Proposal Writing

Introduction Literature review Methodology References Budgeting Work plan

19

17.4 Data Collection Procedures

Types of research tools Formulation of research tools Methods of data collection

YEAR THREE SEMESTER II

DMHND 016 HEALTH SERVICE MANAGEMENT II

Organizational and structure of a health unit Planning health services

Concept of planning Planning cycle Work plan for health facility

Management of resources at the psychiatric unit Equipment and supplies Human resource Time Finances Space

Management of HMIS Maintenance of healthy unit Implementation, monitoring and evaluation of a health facility Management of equipment and supplies

Inventory and stock taking Ordering/ requisition procedures Procurement of equipment and supplies Issuing of equipment and supplies

Integrated disease response and surveillance Key government policies

DMHND 017 APPLIED RESEARCH II (REPORT WRITING)

Introduction Literature review Methodology Results Discussion Recommendations Dissemination of results

20

DMHND 019 PALLIATIVE CARE NURSING

Palliative Care concepts Principles of palliative care Importance of palliative care Roles of palliative care in Uganda Attributes of palliative care Preparation of family to make important decisions.The hospice concept Hospice movement Philosophy of hospice Goals of hospice. Holistic care approachPain and pain management Pain assessment Pain management Psychosocial support to terminally ill patients Administer analgesics Control pain using non-pharmacological methodsPalliative care emergencies Severe uncontrolled pain. Spinal cord compression. Hypercalcemia. Hemorrhage. Superior vena cava obstruction (SVCO).Symptoms of terminally ill patients GIT (Nausea and vomiting, Diarrhea, Anorexia, Constipation, Hiccups Respiratory system (Dyspnea / air hunger) Nervous system (Delirium, Depression, Nightmares, Insomnia) Integumentary system (Non- healing wound, Pruritus)Common conditions in palliative care Anger. Spiritual needs BereavementEthics at the end of life Hastened death Assisted death Advanced directivesTerminal care Near death awareness Grief Death and dying Breaking sad news

21

DMHND 020: INTRODUCTION TO OCCUPATIONAL HEALTH AND SAFETY

Basic concepts in occupational health and safety Identification of occupational health hazards in a work place Types and classification of occupational health hazards Prevention and control of occupational health hazards Roles of a nurse in prevention and control of occupational health hazards Legal issues in occupational health hazards e.g. Workers’ Compensation Act

DMHND 021: ENTREPRENEURSHIPConcept of entrepreneurship Small business in the economy Entrepreneurship, the entrepreneur and the owner manager Innovation and the market placeCreating entrepreneurial small business Business planning Successful, strategies for small business Start-ups and franchises (Permits/license) Buying an existing business Forming and protecting a businessManaging people and resources Managing people and resources Marketing Money matters for small business Business exists and realizing value Development of a business plan and budget Establishing a business premise Raising funds for small business

DMHND 022: COMMUNITY MENTAL HEALTH NURSING

Introduction to Community Health Nursing Roles of Mental Health Nurse Mental Health Home Care Community Mental Health Outreach Services Promotion of Mental Health and Prevention of Mental Illness Disasters and disaster management

Types of disasters (Natural disaster and Man made disaster. Disaster management. Roles played by each stakeholder as far as preparedness, response and recovery

and mitigation are concerned. The stages of disaster management. Requirements for disaster preparedness. Disaster prevention